| NPI | 1902317944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV PT2029) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2029) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |