| NPI | 1376001339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR 63096) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 30491) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2025-01-23 |