| NPI | 1841063427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: AZ 033333) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: CT 11263) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-30 |