| NPI | 1811218191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6151) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |