| NPI | 1427447556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14026) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 05871) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2022-03-10 |