| NPI | 1750522728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009706A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 8237) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2016-10-28 |