| NPI | 1760778328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26464) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-04-19 |