| NPI | 1255904850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD 28429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT300153) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2026-06-15 |