| NPI | 1750922514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012564A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P25026) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2026-07-10 |