| NPI | 1841882503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015919A) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2025-12-29 |