| NPI | 1093228751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294453) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2021-12-06 |