| NPI | 1972859940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9244) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP003691T) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2020-10-12 |