| NPI | 1437888724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28996) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305215071) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-23 |