| NPI | 1679852313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT12794) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: CA PT12794) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |