| NPI | 1235978032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015723A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36003493A) |
| 225100000X Physical Therapist (Licence: IN 99124929A) | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-08-08 |