| NPI | 1093763849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 7998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0007998) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-10-31 |