| NPI | 1528533676 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4570)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA CP026276T)  | 
| Enumeration Date | 2018-10-04 | 
| Last Update Date | 2023-12-15 |