| NPI | 1770150823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 28453) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |