| NPI | 1285993626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 3441) |
| 225100000X Physical Therapist (Licence: MS PT6064) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2022-07-21 |