| NPI | 1760015200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27787) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 27787) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2025-06-13 |