| NPI | 1902356892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: MA 19374) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19374) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2023-04-12 |