| NPI | 1073767216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NV 4808) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: GA PT009464) |
| 2251S0007X Physical Therapist, Sports (Licence: NV 4808) | |
| 2251S0007X Physical Therapist, Sports (Licence: GA 009474) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT009474) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA 009474) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2022-10-03 |