| NPI | 1952702144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PT-5932) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-3742) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |