| NPI | 1194441329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 33875) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT6403) |
| 225100000X Physical Therapist (Licence: NY 049919) | |
| 225100000X Physical Therapist (Licence: KS 11-07202) | |
| 225100000X Physical Therapist (Licence: NM PT22408) | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-06-02 |