| NPI | 1457365538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT15209) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-9207) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-07-16 |