| NPI | 1932153624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000002319) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 2319) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-10-30 |