| NPI | 1649311903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000007151) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT24660) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-04-09 |