| NPI | 1881606317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA PT34718) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 17596) |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA PT34718) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-05-27 |