| NPI | 1831636976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011816A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7892) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |