| NPI | 1669149894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN CP039030T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 31965) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2025-01-02 |