| NPI | 1629961446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24430) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05016177A) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-09-24 |