| NPI | 1306141494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 2012038828) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 37365) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2023-09-14 |