| NPI | 1942640404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT3990) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010614A) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2016-01-20 |