| NPI | 1053656041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 23264) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 23264) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2021-12-15 |