| NPI | 1396578993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015763A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA pending) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-08-27 |