| NPI | 1376072967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 12584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012453A) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-10-29 |