| NPI | 1235539065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014157A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 07763) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2021-10-06 |