| NPI | 1285718940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: HI PT1763) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: ME PT#1988) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-10-25 |