| NPI | 1669838520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 10278) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41774) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-01-11 |