| NPI | 1699174516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10081) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015022A) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2023-04-25 |