| NPI | 1821469750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT4573) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2016-10-20 |