| NPI | 1760833255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 14334) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1271307) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2021-01-12 |