| NPI | 1720205164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NC 5987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 5987) |
| 2251C2600X Physical Therapist, Cardiopulmonary (Licence: NC 5987) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 5987) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-09-13 |