| NPI | 1851638928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 39800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 39800) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2024-03-06 |