| NPI | 1881642411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13635) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 017471) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-06-24 |