| NPI | 1619398534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA 003418) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2023-10-17 |