| NPI | 1003101635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9102) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 9102) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2023-12-12 |