| NPI | 1306817663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41174) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-10-04 |