| NPI | 1336530757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009772A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013459) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |