| NPI | 1285272856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 294965) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 22572) |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |