| NPI | 1265566327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008917A) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IN 05008917A) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-10-01 |