| NPI | 1215056858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009144A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22177) |
| 225100000X Physical Therapist (Licence: MI 5501013140) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |