| NPI | 1710060918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MT 786PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 786PT) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-05-08 |