| NPI | 1548675291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 25128) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-01-24 |