| NPI | 1669920203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 296581) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 296581) |
| 225100000X Physical Therapist (Licence: CA 296581) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2025-10-21 |