| NPI | 1215438098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12070) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2018008064) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-10-29 |