| NPI | 1306049879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7752) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004551A) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |