| NPI | 1336861525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP054854T) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2026-04-07 |