| NPI | 1811946502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2251E1200X Physical Therapist Ergonomics (Licence: AZ 3189) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: AZ 3189) |
| 2251X0800X Physical Therapist Orthopedic (Licence: AZ 3189) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-09 |