| NPI | 1306506373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT7185) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 12390) |
| 225100000X Physical Therapist (Licence: CA 301803) | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2025-08-05 |