| NPI | 1750739314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MT 17163) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT291332) |
| 225X00000X Occupational Therapist (Licence: CA OT14916) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-12-21 |