| NPI | 1184883829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001708A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0002968) |
| 225100000X Physical Therapist (Licence: ME PT00001719) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-10 |