| NPI | 1306000302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 5745) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5745) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2024-11-07 |