| NPI | 1669198065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16044-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 14608) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-11-21 |