| NPI | 1629013909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 2251) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 2129) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-01-03 |