| NPI | 1205158607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010141A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014883) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |