| NPI | 1770467714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 5231) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1279837) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |