| NPI | 1417145319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012697A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI L1609583) |
| 225100000X Physical Therapist (Licence: PA PT018989) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2022-02-22 |