| NPI | 1255419693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6024) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 5116) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-09-16 |