| NPI | 1669907853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11620) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012542A) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2018-03-17 |