| NPI | 1275982878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-5241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 14.010912) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2021-10-12 |