| NPI | 1376160234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37209) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-01-25 |