| NPI | 1841529732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011347A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003778A) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2014-02-18 |