| NPI | 1023734860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 306086) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 049053-01) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-06-13 |