| NPI | 1023909421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT CP043079T) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |