| NPI | 1720057250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics |
| 2251N0400X Physical Therapist Neurology | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |