| NPI | 1891920468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC P21632) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ QA03601) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2023-06-28 |