| NPI | 1508277336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501303341) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9918) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2025-02-07 |