| NPI | 1881254613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2020009813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9387) |
| 225100000X Physical Therapist (Licence: TN 12329) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-03-27 |