| NPI | 1639407307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 25823) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 25823) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 25823) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA PT 25823) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 25823) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2020-04-29 |