| NPI | 1093738056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305206703) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 6255) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-01-05 |