| NPI | 1366213050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16352) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 007994) |
| 225100000X Physical Therapist (Licence: TX CP026512T) | |
| 225100000X Physical Therapist (Licence: TN 16180) | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-07-28 |