| NPI | 1316452048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13106) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213510) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: MA 23390) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2022-03-25 |