| NPI | 1831783828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014425) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DE J1-0003805) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-11-23 |