| NPI | 1245474196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| 2251S0007X Physical Therapist Sports | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2011-11-23 |