| NPI | 1588854020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 6145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 33847) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2018-12-21 |