| NPI | 1760447536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT6252) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT6252) |
| 2251S0007X Physical Therapist, Sports (Licence: CA Pt6252) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2010-08-05 |