| NPI | 1033140041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT19593) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL PT19593) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-02-08 |