| NPI | 1033596747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-5390) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL. 0013479) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2024-08-01 |