| NPI | 1174987366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014594A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4773) |
| 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-17045) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2022-09-12 |