| NPI | 1942640925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO PTL.0013053) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12142-24) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2021-07-12 |