| NPI | 1659684355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT25165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 60149183) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2013-12-17 |