| NPI | 1437221199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 14444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 14444) |
| 2251S0007X Physical Therapist, Sports (Licence: CA 14444) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-05-10 |