NPI | 1295732915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 20269) |
Additional Taxonomies | 174400000X Specialist (Licence: MD 20269) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2013-10-07 |