| NPI | 1912345182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011126A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1104481) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-01-16 |