| NPI | 1851016000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ LPT-033830) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501302160) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2025-02-13 |