| NPI | 1033305586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 6469) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 602-019) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-11-24 |