| NPI | 1821300377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: VA 2305208493) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1196330) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-04-04 |