| NPI | 1104023225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH5007) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL PTH5007) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-01-06 |