| NPI | 1972384063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT7459) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2025-07-02 |