| NPI | 1962945865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: GA PT012334) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-11-24 |
| Last Update Date | 2020-02-19 |