| NPI | 1902231756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015590A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016517) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2025-01-13 |