| NPI | 1679203699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP053236T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 99112000A) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2026-07-06 |