| NPI | 1245571363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011701A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT27464) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2017-05-09 |