| NPI | 1982184289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA 092032) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-08-29 |