| NPI | 1003148644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: ND 1023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 034446) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2025-11-12 |