| NPI | 1316138365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2007023414) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MO 2007023414) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2009-08-24 |