| NPI | 1275343311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NJ 40QA02312300) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 053734) |
| 2251N0400X Physical Therapist, Neurology (Licence: FL PT35860) | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |