| NPI | 1144838632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13102) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35776) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-28 |