| NPI | 1023737582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014702A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1370245) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2026-03-10 |