| NPI | 1336260413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 21987) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MD 21987) |
| 225100000X Physical Therapist (Licence: MD 21987) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-01-08 |