| NPI | 1316078736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT30174) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0016293) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-11-07 |