| NPI | 1326387580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207815) |
| 2251N0400X Physical Therapist, Neurology (Licence: VA 2305207815) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305207815) | |
| 2251S0007X Physical Therapist, Sports (Licence: VA 2305207815) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305207815) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2018-11-19 |