| NPI | 1659888303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8878) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-08-19 |