| NPI | 1023528767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014340A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: TN 12029) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2021-09-02 |