| NPI | 1952802571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12272) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8997) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-02-17 |