| NPI | 1467683615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 34901) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 34901) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2017-03-27 |