| NPI | 1851733190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41929) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207992) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2016-06-10 |