| NPI | 1609234970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS CP021661T) |
| 225100000X Physical Therapist (Licence: TN 9604) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2024-04-17 |