| NPI | 1811071863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60187) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT12501) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-01-03 |