| NPI | 1831319391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 21552) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 5622) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |