| NPI | 1801032172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13433) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017740) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2025-07-10 |