| NPI | 1073897625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010754A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.018449) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2013-10-03 |