| NPI | 1295854057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P2544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 2544) |
| 2251N0400X Physical Therapist, Neurology (Licence: NC 2544) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-03-17 |