| NPI | 1114535390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12846) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP048673T) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2026-08-25 |