| NPI | 1689843922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 3853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3853) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2016-05-13 |