| NPI | 1497042873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 2264) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: NC 2264) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2021-06-15 |