| NPI | 1053810267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 294481) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2025-06-24 |