| NPI | 1568883874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24806) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 24806) |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2023-02-13 |