| NPI | 1215481726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: OR 63788) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: NV 3367) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-07-02 |