| NPI | 1083784987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP032814T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000006452) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-09-24 |