| NPI | 1215934153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NE 699) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: NE 699) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NE 699) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-09-11 |