| NPI | 1659317899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-2598) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012676A) |
| 225100000X Physical Therapist (Licence: PA PT018094) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-09-20 |