| NPI | 1144657628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010743A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21902) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |