| NPI | 1417129909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000005645) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 5645) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-02-22 |