| NPI | 1154670222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NC 13870) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2021-03-11 |