| NPI | 1619635406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16210) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028056) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-12-26 |