| NPI | 1245606110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN 10551) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2019-07-18 |