| NPI | 1811702749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015893A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303777) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-14 |