| NPI | 1962594960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 1294) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 19751) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-03-30 |