| NPI | 1316087281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 292707) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT0006639) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-10-12 |