| NPI | 1609318757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012309A) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: KY 007899) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-07-23 |