| NPI | 1063807808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014541A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30077) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-04-22 |