| NPI | 1932499597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SD 1418) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IA 004600) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2013-06-25 |