| NPI | 1386769156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010047A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1150643) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-06-02 |