| NPI | 1013190990 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22431)  | 
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: MD 22431)  | 
| Enumeration Date | 2007-12-13 | 
| Last Update Date | 2023-04-28 |