| NPI | 1174050306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0017073) |
| 225100000X Physical Therapist (Licence: FL PT32168) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-07-01 |