| NPI | 1619048014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010435A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT2897) |
| 225100000X Physical Therapist (Licence: OH PT 012206) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2013-05-30 |