| NPI | 1992255855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 8212) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN PT8212) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-12-07 |