| NPI | 1790180511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208987) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2022-07-21 |