| NPI | 1003028069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 15396) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010496) |
| 225100000X Physical Therapist (Licence: ME PT3775) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2021-01-14 |