| NPI | 1104864701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT11148) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: CA PT11148) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT11148) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA PT11148) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT11148) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2013-04-08 |