| NPI | 1598944365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008886A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004938) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2022-05-25 |