| NPI | 1164485744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL 7640) |
| 2251N0400X Physical Therapist, Neurology (Licence: FL 7640) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |