| NPI | 1245431329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-006534) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 6534) |
| 2251X0800X Physical Therapist Orthopedic (Licence: AZ 6534) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: AZ LPT-006534) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2021-04-29 |