| NPI | 1366096877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN CP027103T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212982) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2024-05-20 |