| NPI | 1770013039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11267) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000011267) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-04-02 |