| NPI | 1316492465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 23986) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MO 2016027715) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2021-04-07 |