| NPI | 1508098393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 6649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031690-1) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2023-11-27 |