| NPI | 1376799676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT34619) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT34619) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA PT34619) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-05-14 |