| NPI | 1316442494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AR PT4761) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 10677591-2401) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-04-09 |