| NPI | 1306830112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL 8999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN CP039745T) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2025-02-06 |