| NPI | 1710373006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011515A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012129) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-09-30 |