| NPI | 1942371109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 32790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT9842) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2010-10-28 |