| NPI | 1790447241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16325) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64289) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2025-02-25 |