| NPI | 1588058234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41986) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60888) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |