| NPI | 1568881621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4563) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1199288) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2017-01-27 |