| NPI | 1417579087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014420A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 4990) |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2022-10-10 |