| NPI | 1063636835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: CT 004591) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 004591) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-12-31 |