| NPI | 1952589368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34463) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2010-03-24 |