| NPI | 1205913670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist Electrophysiology, Clinical (Licence: NM 2857) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 2857) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-02-10 |