| NPI | 1427241249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305208346) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 23560) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2021-07-23 |