| NPI | 1669774493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37320) |
| 225100000X Physical Therapist (Licence: WA PT 60535854) | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2017-02-15 |