| NPI | 1376774240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: DC PT 871916) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 070-017199) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-12-29 |