| NPI | 1063252054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 12577) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 0515944A) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-11-04 |