| NPI | 1629317417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH6724) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2021-12-03 |