| NPI | 1720715188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000003114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5206) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |