| NPI | 1982314886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29251) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 29251) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-29 |