| NPI | 1003932294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001754A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CO3152) |
| 225100000X Physical Therapist (Licence: HI 2906) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-11-19 |