| NPI | 1568495240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 030898-1) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1178190) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT009594) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT29854) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2010-12-27 |