| NPI | 1568944825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000013488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212352) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-05-09 |