| NPI | 1063639573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 23346) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225100000X Physical Therapist (Licence: TN PT6052) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-08-07 |