| NPI | 1871824995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009470A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004323) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |