| NPI | 1144713058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-5481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 10851659-2401) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-04-30 |