| NPI | 1821252495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: DC PT870522) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MD 22718) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2013-11-01 |