| NPI | 1780872226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT 4017) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2010-09-10 |