| NPI | 1275374464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5994-0) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303121) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-11-19 |