| NPI | 1134319700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7738) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 7738) |
| 2251X0800X Physical Therapist, Orthopedic | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: 7738) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-12-06 |