| NPI | 1437658945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 294319) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA 294319) |
| 2251N0400X Physical Therapist, Neurology (Licence: CA 294319) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |