| NPI | 1083765499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05006720A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501006973) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-08 |