| NPI | 1992334924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: OR 63285) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: NY 033107) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |