| NPI | 1003264946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013329A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31452) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-09-04 |