| NPI | 1245613629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10383) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR 61128) |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2023-10-18 |