| NPI | 1770028961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26264) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 26264) |
| 225100000X Physical Therapist (Licence: CA 294693) | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2022-11-10 |