| NPI | 1780715474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 0000003309) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN PT3309) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-07-07 |