| NPI | 1043704745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11727) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 5073) |
| 225100000X Physical Therapist (Licence: ID 5370) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-03-15 |