| NPI | 1962171694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015563A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT37750) |
| 225100000X Physical Therapist (Licence: FL PT37750) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-05-30 |