| NPI | 1518290899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 279678) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18810) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2022-10-28 |