| NPI | 1801460837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ LPT-31739) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO CP004957T) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-02-12 |