| NPI | 1609451020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05006415A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 003596) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |