| NPI | 1134786007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12448) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 99093336A) |
| 225100000X Physical Therapist (Licence: IN 05013524A) | |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2022-09-28 |