| NPI | 1578806345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 08533R) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011007A) |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2013-04-05 |