| NPI | 1861645491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21295) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 140442) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2022-06-22 |