| NPI | 1003228081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NC P15982) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: FL 29264) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2016-02-15 |