| NPI | 1265863195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28395) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010145A) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |