| NPI | 1689067480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011411A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 29065) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |