| NPI | 1417799628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-6178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216543) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-10-09 |