| NPI | 1285266965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: TX 1328042) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2023-05-24 |