| NPI | 1871679167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7404) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2022-08-25 |