| NPI | 1558348912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR 5016) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5016) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2018-03-12 |