| NPI | 1104869932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 19507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19507) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-10-07 |