| NPI | 1447537246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009265A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 102570) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |