| NPI | 1225326101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 08133R) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-05-25 |