| NPI | 1861990178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012740A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60848939) |
| 225100000X Physical Therapist (Licence: VA 2305211697) | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-10-09 |