| NPI | 1982393344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA 303999) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-06-26 |