| NPI | 1770982423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25119) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MD 25119) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2023-08-04 |