| NPI | 1396933842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012479A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013511) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2020-12-28 |