| NPI | 1063951754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5429-0) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 013199) |
| 225100000X Physical Therapist (Licence: NC 16842) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-02-14 |