| NPI | 1346614757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 9438) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209959) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA 013099) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2025-03-28 |