| NPI | 1386239119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 000365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 000365) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |