| NPI | 1326330788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 14769) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6394) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 44634) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-01-20 |