| NPI | 1750403309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT29958) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: CA PT29958) |
| 225100000X Physical Therapist (Licence: CA PT29958) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-12-19 |