| NPI | 1730596883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MS PT3995) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN PT7361) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-22 |