| NPI | 1740263482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19759) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2019-04-08 |