| NPI | 1528425600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: HI 4152) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 34171) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-02-26 |