| NPI | 1285236729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP049823T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013989A) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2026-02-12 |