| NPI | 1003440777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213218) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |