| NPI | 1942767439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 297482) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 27321) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2022-08-08 |