| NPI | 1811593627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014198A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 11889314-2401) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2021-06-22 |