| NPI | 1528269032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20752) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 20752) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-10-19 |