| NPI | 1972030435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA 295230) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-09-29 |