| NPI | 1518931401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 27476) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24282) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-04-11 |