| NPI | 1689898785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: PR 372) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: PR 372) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |