| NPI | 1841836210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 63460) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011033A) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |