| NPI | 1588896252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA 298915) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030933) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2022-07-25 |