| NPI | 1801189436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010798A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005794) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2014-02-10 |