| NPI | 1639537400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42756) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60574833) |
| 225100000X Physical Therapist (Licence: CO PTL.0013337) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2017-05-09 |