| NPI | 1679845622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292959) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60261366) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2020-08-25 |