| NPI | 1396200051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 299261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P18586) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-02-18 |