| NPI | 1659078004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP022108T) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-09-27 |