| NPI | 1306462320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS CP027174T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12864) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-01-09 |