| NPI | 1104227693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 7502) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41109) |
| 225100000X Physical Therapist (Licence: AL PTH6958) | |
| 225100000X Physical Therapist (Licence: TN 9680) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2023-07-20 |