| NPI | 1578792099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 03013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 32384) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2013-08-26 |