| NPI | 1013401017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MS PT5296) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-02-02 |