| NPI | 1285048488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI pt4635) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2018-12-18 |