| NPI | 1023624269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216863) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.025477) |
| 225100000X Physical Therapist (Licence: IN 05015741A) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-01-17 |