| NPI | 1750465100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009688A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501002674) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-11-13 |