| NPI | 1114502622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013941A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-12-02 |