| NPI | 1659524528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT00622) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 00622) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2012-05-31 |