| NPI | 1669840492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10602) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 0000010602) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2021-03-15 |