| NPI | 1639767932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-02-15 |