| NPI | 1487083549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 8984) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8984) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OR 60237) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2021-09-14 |