| NPI | 1225576283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT-4828) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID PT-4828) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |