| NPI | 1083755680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28944) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: CA 28944) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 28944) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 28944) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-09-28 |