| NPI | 1730511130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 5240) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 4334) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2020-01-21 |