| NPI | 1164100384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015097A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PTL88739) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-11-18 |