| NPI | 1861212235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16012) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA CP033142T) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |