| NPI | 1194854299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008381A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006019870) |
| 225100000X Physical Therapist (Licence: IL 070022011) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-04-19 |