| NPI | 1245304781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 32068) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 32068) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 32068) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |