| NPI | 1497042196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010895A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11810) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2013-04-24 |