| NPI | 1629406335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 40589) |
| Additional Taxonomies | 2251C2600X (Licence: CA 40589) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: CA 40589) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA 40589) | |
| 2251N0400X Physical Therapist, Neurology (Licence: CA 40589) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 40589) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2020-10-15 |