| NPI | 1700965548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MT 1243) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1243) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-06-11 |