| NPI | 1801412762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7357) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: SC 7357) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-11-15 |