| NPI | 1295514081 |
|---|---|
| Former Name | KANEZZIA PEARL WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NY 010425) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |