NPI | 1912365081 |
---|---|
Former Name | KHUSHI ROONGTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12615) |
Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: WI 12615-24) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2022-01-03 |