| NPI | 1720142680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27282) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 27282) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 27282) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-11-20 |