| NPI | 1982192340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT-4744) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1265427) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2020-11-20 |