| NPI | 1639776701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS CP015734T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13067) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2023-01-26 |