| NPI | 1649501305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34493) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60067849) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2013-01-11 |