| NPI | 1336586106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: HI 3797) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207975) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-03-17 |