| NPI | 1821100439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AK PHYP2539) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ME ME264510) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-06-10 |