| NPI | 1871017087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 39332) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 62194) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA 60755297) | |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2022-07-21 |