| NPI | 1811306749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: IN 05011592A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2014027086) |
| 225100000X Physical Therapist (Licence: IN 05011592A) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2016-11-11 |