| NPI | 1568757839 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 40076) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO ptl-11240) | 
| Enumeration Date | 2011-06-15 | 
| Last Update Date | 2025-04-16 |