| NPI | 1629855341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15735) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0019301) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-05-29 |