| NPI | 1588695670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012355A) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-09-09 |