| NPI | 1528389269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT22190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 22190) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-12-03 |