| NPI | 1740539253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014640A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010797) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2022-11-03 |