| NPI | 1194329896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501019829) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-12-27 |