| NPI | 1548406457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT33628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT5761) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2026-07-17 |