| NPI | 1427523901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: TN 14328) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MS PT6554) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-11-04 |