| NPI | 1548858970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: AZ LPT-31572) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28513) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2022-06-19 |