| NPI | 1952918468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16620-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013890A) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-02-02 |