| NPI | 1003211418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: MT 652) |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics (Licence: MT 652) |
| 2251X0800X Physical Therapist Orthopedic (Licence: MT 652) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |