| NPI | 1669628574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT22555) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: HI 2910) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2021-05-26 |