| NPI | 1275650848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007210A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2003023605) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-06-25 |