| NPI | 1093799017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007615A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005061) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2009-08-07 |