| NPI | 1578082657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2212) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012635A) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2023-09-05 |