| NPI | 1144902800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT7869) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT-5320) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-02-06 |