| NPI | 1104565027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015114A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 301446) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2023-07-10 |