| NPI | 1790856961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: FL 0013734) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: FL 0013734) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-11-15 |