| NPI | 1295787851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 6504) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26650) |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-04-02 |