| NPI | 1740732080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: CO PTL.0016395) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210768) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2021-05-24 |