| NPI | 1568872885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 43215) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA pt023283) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2016-02-02 |