| NPI | 1891023479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 36369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9483) |
| 225100000X Physical Therapist (Licence: AZ 9483PT) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2019-09-16 |