| NPI | 1316230204 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3620) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010972A) | 
| Enumeration Date | 2011-05-25 | 
| Last Update Date | 2016-05-12 |