| NPI | 1588108963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000010886) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2023-08-15 |