| NPI | 1730157629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009639A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22140) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2017-04-25 |