| NPI | 1508560418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN A2828) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 1479) |
| 225200000X Physical Therapy Assistant (Licence: CA 53138) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-03-07 |