| NPI | 1750255816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05016167A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501304066) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |