| NPI | 1225267552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: VA PT 2305207331) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2015-11-19 |