| NPI | 1578853958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37785) |
| 225100000X Physical Therapist (Licence: OR 60493) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-08-24 |