| NPI | 1336548262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011326A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013394) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |