| NPI | 1134262389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8157) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10588) |
| 225100000X Physical Therapist (Licence: TN PT0000007352) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-05-02 |