| NPI | 1710946223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009117A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0264751) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2016-12-01 |