| NPI | 1205839123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS CP028295T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000003964) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-04-22 |