| NPI | 1821474107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS CP025394T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10505) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2023-10-11 |