| NPI | 1083870711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012377A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010424) |
| 225100000X Physical Therapist (Licence: TX 1185820) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-05-06 |