| NPI | 1588955504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 33258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2473) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2014-07-31 |