| NPI | 1871833400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24885) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011022A) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2018-07-12 |