| NPI | 1124512496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 30049) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-12-01 |