| NPI | 1942457155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11658) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 9437) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2022-03-25 |