| NPI | 1265558191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001591A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-31077) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-05-09 |