| NPI | 1578518056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1159888) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1159888) |
| 2251N0400X Physical Therapist, Neurology (Licence: TX 1159888) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-12-31 |