| NPI | 1992825020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 3506) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-07-01 |