| NPI | 1386884187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24514) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8301) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2023-12-11 |