| NPI | 1740311489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05002760A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 210) |
| 225100000X Physical Therapist (Licence: IL 070001517) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |