| NPI | 1275221756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 4259) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 1763) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |