| NPI | 1841429610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3107707) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-08-31 |