| NPI | 1255457248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14412) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1402) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-08-09 |