| NPI | 1932163672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist Hand (Licence: DE J10000814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10000814) |
| 2251G0304X Physical Therapist Geriatrics (Licence: DE J10000814) | |
| 2251S0007X Physical Therapist Sports (Licence: DE J10000814) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: DE J10000814) | |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: DE J3-0000050) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2008-02-01 |