| NPI | 1336491141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008076A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004472) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2016-03-04 |