| NPI | 1255634655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 37334) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1243798) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2014-08-11 |