| NPI | 1770579617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MD 20448) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: MD 20448) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-12-09 |