| NPI | 1861931842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA PT015004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210874) |
| 225100000X Physical Therapist (Licence: NC P20510) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-08-31 |