| NPI | 1174171920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013531A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-03-08 |