| NPI | 1609034701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: FL 11783) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 11783) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2023-02-24 |