| NPI | 1588734636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 18437) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 18437) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 18437) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-05-29 |