| NPI | 1902386170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 298948) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1263514) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-01-10 |