| NPI | 1275969578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010555A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28634) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2019-06-27 |