| NPI | 1669672184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002778) |
| 2251S0007X Physical Therapist, Sports (Licence: NC 10613) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2018-03-17 |