| NPI | 1386278166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14494) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27870) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2023-03-23 |