| NPI | 1821519620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 12811) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212020) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2026-07-13 |