| NPI | 1568741148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010550A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005800) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |