| NPI | 1487221636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015491A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214364) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-06-10 |