| NPI | 1225461858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 40412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 40412) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2022-02-11 |