| NPI | 1063744589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009935A) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |