| NPI | 1740515014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009939A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5975-24) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2024-01-18 |