| NPI | 1497369151 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4765)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12889)  | 
| Enumeration Date | 2020-09-01 | 
| Last Update Date | 2025-04-30 |