| NPI | 1881924694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT35811) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2024-11-04 |