| NPI | 1588919641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011704A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006579) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2019-09-30 |