| NPI | 1447718606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305212676) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT026600) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-04-22 |