| NPI | 1568568038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MD 18099) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 18099) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: DC 2918) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-11-20 |