| NPI | 1073980181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 42808) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 42808) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2022-04-25 |