| NPI | 1841289816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: ID PT-2458) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 29616) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2018-01-30 |