| NPI | 1629893318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015823A) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-01-16 |