| NPI | 1861277006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT42910) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-5771) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-03-05 |