| NPI | 1932170339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P18953) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 10596) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CO 10596) | |
| 2251H1200X Physical Therapist, Hand (Licence: NC P18953) | |
| 2251S0007X Physical Therapist, Sports (Licence: NC P18953) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC P18953) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-05-04 |