| NPI | 1376327320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16213) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT7721) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2026-02-13 |