| NPI | 1306008636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 2220) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR 05694) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2019-08-29 |