| NPI | 1316064652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT21694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9488) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 21694) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-11-13 |