| NPI | 1447890793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 297365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT297365) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-01-31 |