| NPI | 1508550807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MI 5501303629) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NJ 40QA02174300) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-04-29 |