| NPI | 1427936822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 32832) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015426A) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |