| NPI | 1609203371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 36901) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 36901) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-12-16 |