| NPI | 1225006562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16232) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02453) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2025-07-23 |