| NPI | 1376033167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TN 13089) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13089) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WI 14161-24) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-07-17 |