| NPI | 1376204636 |
|---|---|
| Former Name | ELIZA GUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14032) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 12615494-2401) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2023-08-10 |