| NPI | 1093295602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS CP000821T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: TN 12633) | |
| 225100000X Physical Therapist (Licence: PA PT027084) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-11-08 |