| NPI | 1417547415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 15289) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 28244) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-09-25 |