| NPI | 1205420924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05005539A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006630) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |