| NPI | 1477960490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MS 3846) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TN 6102) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |