| NPI | 1801558440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: MT 2153PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2153PT) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2023-08-16 |