| NPI | 1326022716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2127) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 2127) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-03-20 |