| NPI | 1023153475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05006223A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004730) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-12-08 |