| NPI | 1851584726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX 1111342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 007742) |
| 225100000X Physical Therapist (Licence: OR 61470) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2024-05-14 |