| NPI | 1316321771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011860A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 038622) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2019-07-18 |