| NPI | 1699057091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9484) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008976A) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2023-07-05 |