| NPI | 1194846147 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: DC 871330)  | 
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: VA 2305207225)  | 
| 2251N0400X Physical Therapist, Neurology (Licence: GA PT008144)  | |
| Enumeration Date | 2007-04-03 | 
| Last Update Date | 2023-09-05 |