| NPI | 1083900583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11771-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 1177124) |
| 225100000X Physical Therapist (Licence: IN 05010306A) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2012-08-31 |