| NPI | 1417294398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11130) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 3040) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2023-11-07 |