| NPI | 1659704351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 3481) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 296718) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2023-11-10 |