| NPI | 1962877878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: AL PTH6963) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: TN 8498) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |