| NPI | 1306800594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16078) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NH 1022) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2025-07-09 |