| NPI | 1932487857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37991) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA 37991) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2024-10-02 |