| NPI | 1336339613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL-9671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870883) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-06-11 |