| NPI | 1669995908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: WI 13498-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13498-24) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-12-28 |