| NPI | 1679726566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 37814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60054898) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-11-30 |