| NPI | 1023083003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9566) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9566) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 9566) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2025-06-06 |