| NPI | 1396166740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NE 3014) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SD 2198) |
| Enumeration Date | 2014-01-01 |
| Last Update Date | 2020-05-27 |