| NPI | 1114295748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2941) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: ID PT-2941) |
| Enumeration Date | 2011-12-10 |
| Last Update Date | 2024-03-26 |