| NPI | 1124353958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05010075A) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MI 1420986) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2025-06-25 |