| NPI | 1124834296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 17346) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP052012T) |
| 225100000X Physical Therapist (Licence: NJ 40QA02308000) | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2026-05-22 |