| NPI | 1831443225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P8199) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NC P8199) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2019-08-15 |