| NPI | 1245676022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 2075873) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NV A-0228) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2018-08-08 |