| NPI | 1972571859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 9214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P9214) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2013-07-11 |