| NPI | 1194227488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501016885) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-06 |