| NPI | 1619269842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 05473) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37197) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2019-07-30 |