| NPI | 1760618177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: AZ 2643) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 028222-1) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2013-08-10 |