| NPI | 1881325561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14972) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE CP021701T) |
| 225100000X Physical Therapist (Licence: IA 111327) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-03-30 |