| NPI | 1215579396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501019345) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-06-12 |