| NPI | 1154855286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP003579T) |
| 225100000X Physical Therapist (Licence: MD 26478) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: TX 1265128) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2020-10-01 |