| NPI | 1013260298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010604A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT18595) |
| 225100000X Physical Therapist (Licence: MN 9227) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2013-02-14 |