| NPI | 1154602498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 33966) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 33966) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA 020703) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2024-04-01 |