| NPI | 1699805358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA 007232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT16275) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: UT 7427425-2401) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2015-12-01 |