| NPI | 1255668513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010162A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003319A) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2011-01-04 |