| NPI | 1114232915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1198390) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ME PT3548) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 031082) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501014035) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |