| NPI | 1083822472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ID 1821) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 13927) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-11-14 |