| NPI | 1700354636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013199A) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-04-17 |