| NPI | 1255652418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010813A) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-06-16 |