| NPI | 1811394042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011686A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2025-01-21 |