| NPI | 1841505518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT15202) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT15202) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2019-01-10 |