| NPI | 1942456678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009492A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012401) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2021-09-16 |