| NPI | 1366265159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 307980) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2025-05-16 |