| NPI | 1073982393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012404A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2017-03-31 |