| NPI | 1306957352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 291467) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2005010176) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL TPPT223) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 048845-01) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-01-26 |