| NPI | 1629150297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 1608) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AR 765) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |