| NPI | 1851506547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 29893) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 29893) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA 29893) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-04-07 |