| NPI | 1740499458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MT 525) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MT 525PT) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-09-30 |