| NPI | 1700317583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NM 4708) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2021-10-14 |