| NPI | 1376700526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MA 16537) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT-1228) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |