| NPI | 1306214069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011765A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006706) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2022-04-25 |