| NPI | 1972562254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 29991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 1717) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-11-01 |