| NPI | 1013294313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001916A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04335) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2016-08-04 |