| NPI | 1861862476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT43083) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2016-05-27 |