| NPI | 1184641847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI kk007396) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-11-04 |