| NPI | 1669142535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN CP027329T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5000) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-05-02 |