| NPI | 1053422956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2858) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-27 |