| NPI | 1053928226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: RI PT03332.) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-08-12 |