| NPI | 1972994226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5501010353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501010296) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2018-09-20 |