| NPI | 1902927999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 7972) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 10549) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-02-26 |