| NPI | 1578689279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 8866) |
| 225100000X Physical Therapist (Licence: MO 2003029328) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2025-05-29 |