| NPI | 1063828044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11866) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0012681) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2025-05-28 |