| NPI | 1669695979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 20666) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 2063) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-09-22 |