NPI | 1780134957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: IN 05008522A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008522A) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-12-01 |