| NPI | 1528582962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 296004) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1293166) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2025-01-28 |