| NPI | 1609421577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251N0400X Physical Therapist, Neurology | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-02-10 |