| NPI | 1689043929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61363) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2024-03-15 |