| NPI | 1346439437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT009748) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: DC PT870551) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2023-08-07 |