| NPI | 1053712612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT42234) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070018772) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: HI PT3900) | |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2021-12-27 |