| NPI | 1285398719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 37458) |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2025-06-03 |