| NPI | 1093483489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-6003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214575) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-11-13 |