| NPI | 1447765433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 63105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294049) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2024-01-18 |