| NPI | 1922616903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10307) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 10307) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2024-11-20 |