| NPI | 1134880024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20097) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2025-10-27 |