| NPI | 1679954473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP043374T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011521A) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2026-08-26 |