| NPI | 1598996951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 13103) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031513-1) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2018-10-19 |