| NPI | 1235773607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4783) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 12284) |
| 225100000X Physical Therapist (Licence: MS 6794) | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-06-11 |