| NPI | 1154102101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 302126) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT016653) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-02-14 |