| NPI | 1083672521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MO 2000174568) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-02-28 |