| NPI | 1679876155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011610A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010040301) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2024-12-27 |