| NPI | 1235527623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16801) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT024088) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2020-06-03 |