| NPI | 1326742313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 304301) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC p21549) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-03-17 |