| NPI | 1487220232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: DC 210002139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11043) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-12-20 |