| NPI | 1881083129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11243) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: TN 13829) | |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2024-02-22 |