| NPI | 1841309440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6886) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TN PT0000006886) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-07-19 |