| NPI | 1902124969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010205A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.017738) |
| 225100000X Physical Therapist (Licence: MI 5501014932) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-10-11 |