| NPI | 1336764133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015556A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 008055) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-03-18 |