| NPI | 1326134347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MO 0556) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: KS 11-02878) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |