| NPI | 1487882601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014121A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005498) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-04-19 |