| NPI | 1649729625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012100A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-4534) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2016-10-01 |