| NPI | 1568653699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 4214) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-12-13 |