| NPI | 1023298460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT22576) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA PT22576) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT22576) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2019-08-20 |