| NPI | 1598914483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 00301) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: IA 00301) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |