| NPI | 1952866253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3659) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |