NPI | 1134600224 |
---|---|
Former Name | FNU LEENA NATHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216776) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26702) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2025-02-03 |