| NPI | 1568928190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MD 27126) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT31746) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2020-01-15 |