| NPI | 1417149949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 3488) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2022-12-16 |