| NPI | 1528091543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-8427) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 24520) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-05-09 |