| NPI | 1063806909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC P15518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15518) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-06-26 |