| NPI | 1801290861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011531A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022904) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2022-04-12 |