| NPI | 1194508051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP025551T) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-10-23 |