| NPI | 1356660716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 5890) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031010) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2026-02-09 |