| NPI | 1962614081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT296336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61085369) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-01-08 |