| NPI | 1902230303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: KY 4904) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: IN 05008894A) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |