| NPI | 1861049801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298453) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 044621) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-11-08 |