| NPI | 1255981296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12169) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 6595) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2023-09-29 |