| NPI | 1942679634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 25703) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05011819A) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-10-14 |