| NPI | 1659579902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 3327) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 9929) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |