| NPI | 1154330223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL PA.926) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2022-07-21 |