| NPI | 1073539706 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18703) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MD 18703) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-10-20 |