| NPI | 1093124133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14648) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13039) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2022-12-19 |