| NPI | 1043566680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NC 13775) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NC 13775) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-12-31 |