| NPI | 1487664132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 212) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 212) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2010-03-02 |