| NPI | 1679197784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 10607) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 2251G0304X Physical Therapist, Geriatrics (Licence: LA 10607) | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2021-07-22 |