| NPI | 1760969265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA PTA4183) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: 4183) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2021-03-25 |