| NPI | 1447407580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009328A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501013357) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-01-04 |