| NPI | 1063046290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305217563) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 298177) |
| 225100000X Physical Therapist (Licence: CA 298177) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2026-05-29 |