| NPI | 1679543201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: LA 07631R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT22243) |
| 225100000X Physical Therapist (Licence: VA 23050006230) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2009-10-07 |