| NPI | 1407822778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT007558) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305204420) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MD 21577) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-08-24 |