| NPI | 1508184292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT32662) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT32662) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2022-07-08 |