| NPI | 1184506396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP048746T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05016161A) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-08-26 |