| NPI | 1477556710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6319) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-09-29 |