| NPI | 1780237826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14372) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013138a) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-08-02 |