| NPI | 1639186141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4391) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26468) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-04-17 |