| NPI | 1548831795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO PTL.0017685) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-12-19 |