| NPI | 1538124730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: VA 2305205494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015368) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-01-08 |