| NPI | 1114047826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 003536) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 003536) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-02-05 |