| NPI | 1225089238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 20026) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 4478) |
| Enumeration Date | 2006-05-14 |
| Last Update Date | 2024-07-06 |