| NPI | 1750990883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013607A) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: 05013607A) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-11-16 |