| NPI | 1750881330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12144) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT4786) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-01-08 |