| NPI | 1477041523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005363A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502005013) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |