| NPI | 1093901738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9832) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205252) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2017-12-27 |