| NPI | 1487063632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P15121) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-06-10 |