| NPI | 1285027037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT42667) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: ID 3782) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2023-02-23 |