| NPI | 1669814257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24551) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9569) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2020-04-20 |