| NPI | 1114267861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010748A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000009480) |
| 225100000X Physical Therapist (Licence: IA 004715) | |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2020-02-25 |