| NPI | 1245621515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: HI PT3967) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2016-01-11 |