| NPI | 1558673814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13314) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 0284361) |
| 2251X0800X Physical Therapist, Orthopedic | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC P13314) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2022-05-05 |