| NPI | 1477703049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: CO 0012895) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2171PT) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2016-04-04 |