| NPI | 1992083570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23677) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 25135) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2022-01-19 |