| NPI | 1326253741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: CO 5242) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MO 104015) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-12-14 |