| NPI | 1134000557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16863) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: MO 2025037474) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-17 |