| NPI | 1578301768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307423) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251N0400X Physical Therapist Neurology | |
| 2251P0200X Physical Therapist Pediatrics | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| 2251C2600X Physical Therapist Cardiopulmonary | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2025-01-24 |