| NPI | 1659996122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP002924T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0016443) |
| 225100000X Physical Therapist (Licence: CA 297809) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |