| NPI | 1912330242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: DC 871513) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: MD 27858) |
| 2251S0007X Physical Therapist Sports (Licence: VA 2305212030) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: TX 1233585) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2024-07-08 |