| NPI | 1194192583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 4684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4684) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2017-12-27 |