| NPI | 1376552786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007913A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 29783) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-09-15 |