| NPI | 1750451233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT29408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008344) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |