| NPI | 1205233327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41959) |
| 225100000X Physical Therapist (Licence: CA 41959) | |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2018-09-21 |