| NPI | 1609297332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010271A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005723) |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2021-02-10 |