| NPI | 1740965391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 5297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2018028508) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-21 |